摘要
开胸术后疼痛,主要的致病因素是肋间神经损伤,开胸术后疼痛影响着患者术后病情恢复和预后。为缓解开胸术后急慢性疼痛,特别是针对术后疼痛的预防,改良手术切口减少创伤的微创技术、肋间神经保护技术以及改进胸腔引流管的放置技术等相继应用于开胸手术,均取得了良好的临床效果。本文将开胸术后疼痛的预防临床进展作一综述。
The main culprit being intercostal nerve injury in thoracotomy is considered to be the most painful surgical access.Postoperative pain in patients with thoracotomy affects the patient＇s disease recovery and prognosis.To relieve the acute and chronic pain after thoracotomy,especially the prevention of postoper-ative pain a number of clinical studies appeared successively,including minimally invasive technique with im-proved surgical incision to reduce trauma and protective technique for intercostal nerve and the improvement of chest drainage tube placement technique,etc.All the measurements achieved good clinical effect.In this paper,the clinical progress of prevention of post thoracotomy pain is summarized as following.
作者
蒋毅
赵宏
陶宏
JIANG Yi ZHAO Hong TAO Hong(Tengzhou Central People＇ s Hospital ＆ the Affiliated Hospital of Jining Medical University, Tengzhou 277500, Chin)
出处
《济宁医学院学报》
2016年第6期421-425,432,共6页
Journal of Jining Medical University
基金
济宁医学院2015年度校级科研计划项目(JY2015KJ030)
滕州市2015年科技发展计划(2015 10013)
关键词
开胸术
开胸术后疼痛
肋间神经保护技术
手术技术改良
预防性措施
Thoracotomy
Post thoracotomy pain
Protective technique for intercostal nerve
Improved surgical techniques
Preventive measurements
